Healthcare Provider Details

I. General information

NPI: 1215461223
Provider Name (Legal Business Name): APRENDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2017
Last Update Date: 04/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 E CESAR CHAVEZ ST
AUSTIN TX
78702-4604
US

IV. Provider business mailing address

18804 ANGEL MOUNTAIN DR
LEANDER TX
78641-3803
US

V. Phone/Fax

Practice location:
  • Phone: 512-377-6133
  • Fax:
Mailing address:
  • Phone: 512-529-1944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberBTN PRACTICAL
License Number StateZZ

VIII. Authorized Official

Name: KRIS PINA
Title or Position: COUNSELOR
Credential: CERTIFIED NUTRITIONI
Phone: 512-529-1944